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BOD 43/2014
(Agenda Item: 4)
Report to the Meeting of the
Oxford Health NHS Foundation Trust
Board of Directors
30 April 2014
Chief Executive’s Report
For Approval
National Issues
1. Positive and Proactive Care: Reducing the Need for Restrictive
Interventions
The Care and Support Minister Norman Lamb launched new guidance on the use
of restrictive interventions for patients with difficult behaviour. The guidance
follows the government investigation into Winterborne View Hospital and a study
undertaken by Mind both of which identified concerns with how restraint was
being used. The new programme – Positive and Safe – is designed to support
staff to develop a culture where restrictive interventions are only used as a last
resort.
As previously discussed at Board and Integrated Governance Committee
meetings, the Trust is undertaking a review of our approach to restraint and
seclusion, including staff training. I have asked the Director of Nursing and
Clinical Standards to ensure our review takes account of the new guidance.
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A copy of the guidance may be accessed here:https://www.gov.uk/government/publications/positive-and-proactive-carereducing-restrictive-interventions
2. NHS England Chief Executive
Simon Stevens started as the Chief Executive of NHS England on 1 April 2014.
3. Review of Sections 135 and 136
The Department of Health has launched a consultation into the operations of
sections 135 and 136 of the Mental Health Act 1983 in England and Wales. These
are the sections which give the police powers to temporarily remove people who
appear to be suffering from a mental disorder to a ‘place of safety’ such that a
mental health assessment can be carried out and arrangements for care made.
The consultation seeks to understand how these sections are currently being
utilised and the evidence will be used to decide whether or not changes to the
primary legislation are required. A copy of the survey may be accessed here:https://www.gov.uk/government/consultations/review-of-the-operation-ofsections-135-and-136-of-the-mental-health-act
I have asked the Director of Nursing and Clinical Standards and Chief Operating
Officer to consider submitting a response.
Local / Trust Issues
4. CEO Stakeholder Meetings & Visits
Since the last meeting, key stakeholders that I have met, visits I have undertaken
and meetings that I have attended have included:
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Trust Senior Leaders Conference
OxAHSC Board meeting
AHSN Board and AHSN Partnership Board meetings
Sir Tony Baldry MP (MP for North Oxfordshire)
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Visit to Memory Clinic
Meeting with Will Hancock, CEO of SCAS
Meeting with Trust Auditors
Meeting with James Plunkett to discuss social impact bonds
Healthy Bucks Leaders Meeting
National Psychosis Summit
5. Commissioner Contracts
At the time of writing this report, our service contracts with the two
Buckinghamshire CCGs and the NHS Commission Board (for specialised services’
contracts) had been agreed.
Discussions continue with Oxfordshire CCG about the Oxfordshire mental health
and community health contract proposals.
6. Prime Minister visits Warneford Hospital
On 28 March 2014, David Cameron MP visited the Warneford Hospital as part of
a constituency visit. The Prime Minister helped the Trust celebrate NHS
Sustainability Day and was able to meet staff and patients from a range of
services provided on the Warneford site. As part of the visit, the Prime Minister
and the President of the Royal College of Psychiatrists, Professor Dame Sue
Bailey, jointly planted a tree in hospital grounds; this was the first of 20 trees
donated by the NHS Forrest that the Trust has committed to plant over the next
three years.
7. Royal College of Psychiatrists’ President’s Medal 2014
The Trust’s Medical Director, Dr Clive Meux, has been awarded one of the Royal
College of Psychiatrists’ President’s medals in 2014. The award honours those
who have contributed to policy, public knowledge, education and meeting
population and patient care needs in diverse and challenging circumstances. This
is a well deserved award and recognises the contribution Dr Meux has made both
nationally and internationally.
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8. Delegation from Hong Kong
During the second week of April, the Trust hosted a delegation from Kwai Chung
Hospital, Hong Kong. The hospital’s CEO and clinicians and staff from their
CAMHS team visited a range of Trust services and is indicative of the developing
relationship between the two organisations. During their visit, we were able to
show the delegation our new Highfield Unit and Whiteleaf Centre which is
helping them to plan the design and development of a new mental health
hospital in Hong Kong.
9. Consultant Appointment
An Advisory Appointment Committee (AAC), Chaired by Dr Clive Meux, Medical
Director, and attended by Dr Anne Grocock, Non Executive Director, convened on
21 March 2014 and offered the post of Consultant Psychiatrist in Liaison
Psychiatry (Buckinghamshire PIRLS) (Full Time) to Dr Pavan Joshi. The offer was
made subject to relevant pre-employment checks and Board agreement.
Dr Joshi gained his medical degree in India and trained in psychiatry in London
where he has most recently been working in Liaison Psychiatry at St Pancras
Hospital (he is soon to gain accreditation in general psychiatry and liaison
psychiatry). Apart from his Membership of the Royal College of Psychiatrists
(MRCPsych), he has an MSc degree in Transcultural Mental Health from Queen
Mary University London. He has been involved in a range of teaching and other
academic activities. This will be his first substantive consultant post.
The Board is asked to approve this appointment.
Recommendation
The Board is asked to note the report.
The Board is asked to approve the AAC recommendation.
Lead Executive Director: Stuart Bell, Chief Executive